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Recording 15 : PPT 7 - Globalizing Human Subjects

Recording 15 : PPT 7 - Globalizing Human Subjects

Das and Das

pattern of resort

india

going to pharmacist. diagnosis through dispensation (instead of treatment based on diagnosis). not looking for diagnosis, they are looking to treat symptoms. Based on their culture someone who just give a diagnosis and no treatment is a quack.

ton of indigenous knowledge.

Sickness vs ailment

local pattern of employment

p183 - efficacy of treatment

Decentralize. Pharmacist know they are being judged.

p48 - Nigeria

off label abuses

p49 chain of complecency .

importance of which moral agents

identify their guiding ??

these codes cannot be used in US courts

Commercialized Clinical Trials

“A dangerous break” between bioethics and the realities of local moral worlds (Ch.2 – pp.33-35)

Ethical imperialism vs. ethical relativism

Scarcity/vulnerability of subjects

Treatment naiveté (unequal Standard of Care) – pp.40-46.

Ethical codes vs. ethical regulations (pp.46-52) and enforcement

Key Ideas: 4 items

Target certain communities because it is a cheap to do (lower standard of care). Difference in standard of care of people doing the research and where are doing the research.

Informed consent. People are illiterate.

after the research - residual obligation

Pharmaceutical Citizenships

all laws are enforced by states. in a globalized world.

your access to this is limited to citizenship

??

Liability - p58 - note 24 - great example of moral obligation is not contained in the start and end date of the experiment.

ethical variability

clinical trials as social good. for under resourced communities - if you are balancing good - favor knowledge because it benefits all of humanity. but not on their own grounds.

Exam

MCQ, SA, Essay - cumulative

Biological Citizenship

chenobyl - what is the long term moral obligation of different moral agent